160例女性不孕症的四种病原体检测及意义

本文报告了对１６０例女性不孕症患者宫颈分泌物中解脲脲原体（Ｕｕ）、人型支原体（Ｍｈ）、沙眼衣原体（Ｃｔ）和淋病奈氏球菌（Ｎｇ）的测定，结果总体检出率７０％（１２０／１６０），明显高于对照组（同期早孕妇女），Ｐ＜０．０１。其中输卵管阻塞组阳性率８４．７８％（３９／４６），明显高于输卵管通畅组６３．４６％（３３／５２）及欠通畅组６４．５２％（４０／６２），Ｐ＜０．０５。且针对性治疗收到一定效果，提示妇女下生殖道Ｕｕ、Ｃｔ、Ｎｇ感染是输卵管阻塞性不孕的主要原因之一。对该类患者行三项检测，对不孕症的病因诊断及治疗有好处。

Detection and Its Significance of Four Pathogens of 160 Cases of Female Sterility

This paper reports the detection of four pathogens: ureaplasma urealyticum(Uu),mycoplasma hominis(Mh), Clamydia trachomatis(Ct) and Neisseria gonorrhoeae(Ng), the results showed that the total dectable rate was 70%(120/160), markedly higher than that of control group(women of early pregnancy in the corresponding period)(P<0.01). Among them, the positive rate in the group of blocked oviduct was 84. 78%(39/46),markedly higher than that in the group of unblocked oviduct(63. 46%, 33/52) and that in the group of dysblocked oviduct(64.5%,40/62),P<0. 05,and the treatment for them achieved proper results, suggesting that the infection of Uu,Ct and Ng of lower genital tract was one of the main causes of oviduct obstructive sterility. To detect above three pathogens is beneficial to the causal diagnosis and treatment for sterility.